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Trends and influencing factors of health-related behaviors of elderly "three highs" patients with the management of "Integrated Control and Prevention of Three Highs and Six Diseases" in a district of Qingdao city: an analysis of 2019–2022 surveillance data
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Xingli MA1, 2, Gaohui ZHANG3, Shilong ZHANG1, 2, Wenyu FAN1, 2, Yang ZHAO4, 5, Liangxia CHEN3, Cong QI3, Xueying DU3, Haipeng WANG1, 2
Chinese Journal of Public Health | 2025, 41(2) : 144 - 147
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Chinese Journal of Public Health | 2025, 41(2): 144-147
• Special Report – "Integrated Control and Prevention of Three Highs and Six Diseases" strategy for chronic disease management •
Trends and influencing factors of health-related behaviors of elderly "three highs" patients with the management of "Integrated Control and Prevention of Three Highs and Six Diseases" in a district of Qingdao city: an analysis of 2019–2022 surveillance data
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Xingli MA1, 2, Gaohui ZHANG3, Shilong ZHANG1, 2, Wenyu FAN1, 2, Yang ZHAO4, 5, Liangxia CHEN3, Cong QI3, Xueying DU3, Haipeng WANG1, 2
Affiliations
  • 1Centre for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan 250012, China
  • 2NHC Key Lab of Health Economics and Policy Research (Shandong University), Jinan 250012, China
  • 3Department of Health Management, Shandong Center for Disease Control and Prevention, Jinan 250014, China
  • 4The George Institute for Global Health, University of New South Wales, Sydney 2050, Australia
  • 5Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, 3010 Australia
Published: 2025-02-10 doi: 10.11847/zgggws1143931
Outline
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Objective

To analyze the prevalence and influencing factors of health-related behaviors of elderly hypertension/hyperglycemia/hyperlipidemia (abbreviated as "three highs)" patients with the management of "Integrated Control and Prevention of Three Highs and Six Diseases", and to provide a reference for improving the chronic disease management model.

Methods

Data of 43 150 elderly (≥ 60 years) "three highs" patients with consecutive follow-up information on health-related behaviors (smoking, alcohol consumption and physical activity) from 2019 to 2022 were collected from the Chronic Disease Management Information System of Chengyang District of Qingdao City. Generalized estimating equations were used to analyze the factors influencing patients' health-related behaviors.

Results

For all participants over the period, the prevalence of smoking and alcohol consumption showed the same trend of slightly increasing and then decreasing (smoking/alcohol consumption: from 13.09%/16.44% in 2019 to 13.39%/16.93% in 2020, 12.25%/15.07% in 2022); the prevalence of physical activity increased gradually from 35.47% in 2019 to 42.39% in 2022. The generalized estimating equation analysis showed that the male participants were more likely to have a higher rate of smoking, the participants who were male and those with primary or junior high school education were more likely to have a higher rate of alcohol consumption, and the participants with non-local household registration, with occupations other than agricultural worker, and with comorbidity of hypertension/ hyperglycemia/hyperlipidemia were more likely to have a lower rate of physical activity.

Conclusions

The implementation of the "Integrated Control and Prevention of Three Highs and Six Diseases" chronic disease management strategy in Shandong province generally improved health-related behaviors among elderly residents with hypertension/hyperglycemia/hyperlipidemia in a district of Qingdao city.

"Integrated Control and Prevention of Three Highs and Six Diseases" strategy  /  chronic disease management model  /  health behavior
马兴丽, 张高辉, 张世龙, 范文瑜, 赵洋, 陈良侠, 齐聪, 杜雪莹, 王海鹏. 2019—2022年青岛市城阳区“三高共管 六病同防”慢病管理模式对老年患者健康行为变化趋势及影响因素分析. 中国公共卫生, 2025 , 41 (2) : 144 -147 . DOI: 10.11847/zgggws1143931
Xingli MA, Gaohui ZHANG, Shilong ZHANG, Wenyu FAN, Yang ZHAO, Liangxia CHEN, Cong QI, Xueying DU, Haipeng WANG. Trends and influencing factors of health-related behaviors of elderly "three highs" patients with the management of "Integrated Control and Prevention of Three Highs and Six Diseases" in a district of Qingdao city: an analysis of 2019–2022 surveillance data[J]. Chinese Journal of Public Health, 2025 , 41 (2) : 144 -147 . DOI: 10.11847/zgggws1143931
Year 2025 volume 41 Issue 2
54
21
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Article Info
doi: 10.11847/zgggws1143931
  • Receive Date:2024-08-30
  • Online Date:2026-10-25
  • Published:2025-02-10
Article Data
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History
  • Received:2024-08-30
  • Revised:2024-09-14
  • Accepted:2025-01-26
Affiliations
    1Centre for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan 250012, China
    2NHC Key Lab of Health Economics and Policy Research (Shandong University), Jinan 250012, China
    3Department of Health Management, Shandong Center for Disease Control and Prevention, Jinan 250014, China
    4The George Institute for Global Health, University of New South Wales, Sydney 2050, Australia
    5Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, 3010 Australia

Corresponding:

WANG Haipeng,E-mail:
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表12种不同金属材料的力学参数
科
Family
属数
Number of
genus
种数
Number of
species
占总种数比例
Percentage of
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属
Genus
种数
Number of
species
占总种数比例
Percentage of total
species (%)
鹅膏菌科Amanitaceae 2 11 5.26 鹅膏菌属 Amanita 10 4.78
小菇科 Mycenaceae 2 12 5.74 丝盖伞属 Inocybe 5 2.39
多孔菌科 Polyporaceae 8 14 6.70 蜡蘑属 Laccaria 5 2.39
红菇科 Russulaceae 3 23 11.00 小皮伞属 Marasmius 6 2.87
小菇属 Mycena 11 5.26
光柄菇属 Pluteus 5 2.39
红菇属 Russula 17 8.13
栓菌属 Trametes 5 2.39
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